Individual
MOLLY KATHLEEN LARUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6100 RONALD REAGAN DR, LAKE SAINT LOUIS, MO 63367-2660
(636) 625-2137
(636) 625-2138
Mailing address
28014 PINCECREST DR, WRIGHT CITY, MO 63390
(314) 803-5450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2000172874
MO
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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